| Sb Transitional Sub, Llc | |
|
1115 W Chestnut St Brockton MA 02301-7501 | |
| (508) 521-2200 | |
| Not Available |
| Full Name | Sb Transitional Sub, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1115 W Chestnut St, Brockton, Massachusetts |
| Authorized Official Name and Position | Mary Patricia Rodenberg-roberts (VP & SR. ASST GENERAL COUNSEL) |
| Authorized Official Contact | 9528362234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sb Transitional Sub, Llc 1115 W Chestnut St Brockton MA 02301-7501 Ph: (508) 521-2200 | Sb Transitional Sub, Llc 1115 W Chestnut St Brockton MA 02301-7501 Ph: (508) 521-2200 |
| NPI Number | 1962091173 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/14/2024 |
| Medicare PECOS PAC ID | 7911315379 |
|---|---|
| Medicare Enrollment ID | O20210423000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962091173 | NPI | - | NPPES |
| Provider Name | Louise E Moore Allgaier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831285774 PECOS PAC ID: 2365457447 Enrollment ID: I20060210000081 |
| Provider Name | Martha J Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972615458 PECOS PAC ID: 2961400585 Enrollment ID: I20061115000154 |
| Provider Name | Deborah B Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184762254 PECOS PAC ID: 7517061609 Enrollment ID: I20070329000373 |
| Provider Name | Evan K Margetson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457436404 PECOS PAC ID: 6608956784 Enrollment ID: I20080102000041 |
| Provider Name | Rebecka L Humphrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083775449 PECOS PAC ID: 6901937531 Enrollment ID: I20100626000037 |
| Provider Name | Susan Valente |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780870527 PECOS PAC ID: 4486830460 Enrollment ID: I20110510000305 |
| Provider Name | Kristina E Lingertat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720315963 PECOS PAC ID: 3375706526 Enrollment ID: I20120525000171 |
| Provider Name | Kathryn M Doan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922332816 PECOS PAC ID: 0941453997 Enrollment ID: I20121227000088 |
| Provider Name | Michele M Byrnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164731006 PECOS PAC ID: 7012140650 Enrollment ID: I20140506000191 |
| Provider Name | Olga Lisysyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588810584 PECOS PAC ID: 3476870510 Enrollment ID: I20150330000281 |
| Provider Name | Joel Langsam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548388952 PECOS PAC ID: 8729307251 Enrollment ID: I20150506000095 |
| Provider Name | Lindsay E Grossman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609278431 PECOS PAC ID: 0042518003 Enrollment ID: I20160407002116 |
| Provider Name | Guerline Norbrun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376927335 PECOS PAC ID: 8123326345 Enrollment ID: I20160420002347 |
| Provider Name | Wendy P Budwey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164811063 PECOS PAC ID: 6608160866 Enrollment ID: I20160810002006 |
| Provider Name | Amy D Belanger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487973566 PECOS PAC ID: 7113212010 Enrollment ID: I20160816002876 |
| Provider Name | Christin M Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760741391 PECOS PAC ID: 8820384373 Enrollment ID: I20160908002336 |
| Provider Name | Brittany M Eideh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902253347 PECOS PAC ID: 9032497045 Enrollment ID: I20161026001241 |
| Provider Name | Holly A Corrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588014203 PECOS PAC ID: 0941588321 Enrollment ID: I20161107000868 |
| Provider Name | Yuan Jia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982062840 PECOS PAC ID: 6507147501 Enrollment ID: I20170106000018 |
| Provider Name | Paul S Killion |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982797692 PECOS PAC ID: 7618985326 Enrollment ID: I20170621001936 |
| Provider Name | Kaitlin Ann Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366501173 PECOS PAC ID: 3971875618 Enrollment ID: I20170816000634 |
| Provider Name | Nancy E Durkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144779653 PECOS PAC ID: 1557634334 Enrollment ID: I20170829004159 |
| Provider Name | Laura E Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376867416 PECOS PAC ID: 9234495961 Enrollment ID: I20171113000836 |
| Provider Name | Carly Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780040600 PECOS PAC ID: 9931466158 Enrollment ID: I20171127000818 |
| Provider Name | Katie A Blinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336529916 PECOS PAC ID: 7810243847 Enrollment ID: I20180705002919 |
| Provider Name | Olivia N Bonanno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720564735 PECOS PAC ID: 4082965827 Enrollment ID: I20180918003373 |
| Provider Name | Sharon G Sedik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508358391 PECOS PAC ID: 5597016261 Enrollment ID: I20180919000525 |
| Provider Name | Nicholas J Collura |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912390121 PECOS PAC ID: 2264786748 Enrollment ID: I20181120001064 |
| Provider Name | Jennifer L Duppert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447743406 PECOS PAC ID: 6406193200 Enrollment ID: I20190201001516 |
| Provider Name | Itoko Kikuchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235374414 PECOS PAC ID: 9931448693 Enrollment ID: I20190225002842 |
| Provider Name | Natasha A Roy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407108020 PECOS PAC ID: 9931441839 Enrollment ID: I20190424002787 |
| Provider Name | Meredith S Rogerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689169823 PECOS PAC ID: 7517209091 Enrollment ID: I20190502001765 |
| Provider Name | Michael P Delisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447741293 PECOS PAC ID: 4183056922 Enrollment ID: I20191115000885 |
| Provider Name | Antonio M Brito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356732416 PECOS PAC ID: 7911335310 Enrollment ID: I20200318001574 |
| Provider Name | Joanne M Spadaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861827982 PECOS PAC ID: 3971926536 Enrollment ID: I20200714002514 |
| Provider Name | Kareem A Hines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528418456 PECOS PAC ID: 7214351964 Enrollment ID: I20200728001310 |
| Provider Name | Laura Marie Cisler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538670831 PECOS PAC ID: 6800211509 Enrollment ID: I20200728003396 |
| Provider Name | Lauren A Peretto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659885036 PECOS PAC ID: 6002236544 Enrollment ID: I20201021002282 |
| Provider Name | Dalena N Tran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821108788 PECOS PAC ID: 3971913526 Enrollment ID: I20201110001677 |
| Provider Name | Emily P Noel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295262368 PECOS PAC ID: 0941612998 Enrollment ID: I20201215002734 |
| Provider Name | Deloris D Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285855361 PECOS PAC ID: 7012233190 Enrollment ID: I20201215003149 |
| Provider Name | Daisy G Leon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598113920 PECOS PAC ID: 3476967753 Enrollment ID: I20210127002672 |
| Provider Name | Stacy A Lalor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588181119 PECOS PAC ID: 8820402100 Enrollment ID: I20210127002691 |
| Provider Name | Jacquelyn M Mayo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760965479 PECOS PAC ID: 5991110793 Enrollment ID: I20210208002308 |
| Provider Name | Karyssa D Bendiksen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487925160 PECOS PAC ID: 0244645497 Enrollment ID: I20210219002161 |
| Provider Name | Melissa L Jodat D'angelo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265744924 PECOS PAC ID: 0941618177 Enrollment ID: I20210428000176 |
| Provider Name | Amanda Kochan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235470832 PECOS PAC ID: 3577972199 Enrollment ID: I20210512001673 |
| Provider Name | Megan M St. Pierre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780044032 PECOS PAC ID: 9032528500 Enrollment ID: I20210513000555 |
| Provider Name | Naila Tariq |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649761321 PECOS PAC ID: 9537568613 Enrollment ID: I20210521000519 |
| Provider Name | Olivia J Homan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093284648 PECOS PAC ID: 5496156234 Enrollment ID: I20210630001632 |
| Provider Name | Emily Greenspan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942689245 PECOS PAC ID: 2062815574 Enrollment ID: I20210721002652 |
| Provider Name | Jody E Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659720530 PECOS PAC ID: 3375947328 Enrollment ID: I20210812001814 |
| Provider Name | Xiaojin Lin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720448632 PECOS PAC ID: 5698171668 Enrollment ID: I20210831002316 |
| Provider Name | Eugene Makowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073821955 PECOS PAC ID: 4082010764 Enrollment ID: I20210903000732 |
| Provider Name | Mark N Hopperstad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558783373 PECOS PAC ID: 1153729090 Enrollment ID: I20211007001703 |
| Provider Name | Ann M Parks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154530723 PECOS PAC ID: 3971991506 Enrollment ID: I20211101000341 |
| Provider Name | Paul Viscione |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992364830 PECOS PAC ID: 5597154500 Enrollment ID: I20211112001719 |
| Provider Name | Carisa Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083006654 PECOS PAC ID: 9032508684 Enrollment ID: I20211119001554 |
| Provider Name | Maia Roper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013361492 PECOS PAC ID: 0941699599 Enrollment ID: I20211119001557 |
| Provider Name | Meghan Norsigian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659923126 PECOS PAC ID: 7719378249 Enrollment ID: I20211216003037 |
| Provider Name | Trevor Hiler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558917195 PECOS PAC ID: 7416348453 Enrollment ID: I20211229001356 |
| Provider Name | Katherine A Leblanc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356820385 PECOS PAC ID: 8628460805 Enrollment ID: I20220120000912 |
| Provider Name | Ezekiah D Reis Burgin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629589726 PECOS PAC ID: 6709272495 Enrollment ID: I20220406000025 |
| Provider Name | Katherine Hurley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770017758 PECOS PAC ID: 5991182396 Enrollment ID: I20220524000256 |
| Provider Name | Charis Stone-racer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316225394 PECOS PAC ID: 4981082161 Enrollment ID: I20220531000619 |
| Provider Name | Zachary Kinsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518581552 PECOS PAC ID: 6204212012 Enrollment ID: I20221003000494 |
| Provider Name | Christina Pagliuca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306485222 PECOS PAC ID: 3072989227 Enrollment ID: I20221013001551 |
| Provider Name | Samantha Loignon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255830782 PECOS PAC ID: 2466823182 Enrollment ID: I20230117001424 |
| Provider Name | Nadia T Brandon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073124020 PECOS PAC ID: 9931571254 Enrollment ID: I20230215001786 |
| Provider Name | Fikreta Cefo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821482712 PECOS PAC ID: 2769854744 Enrollment ID: I20230221002379 |
| Provider Name | Claire M Weirson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568960706 PECOS PAC ID: 8820456353 Enrollment ID: I20230615001353 |
| Provider Name | Amanda M Parent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790158640 PECOS PAC ID: 1456711951 Enrollment ID: I20230715000291 |
| Provider Name | Robert Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598162653 PECOS PAC ID: 6406201136 Enrollment ID: I20231016001267 |
| Provider Name | Amara Kupiec |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942689732 PECOS PAC ID: 9739539768 Enrollment ID: I20240103000679 |
| Provider Name | Tarah Alexandra Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104012798 PECOS PAC ID: 1850742867 Enrollment ID: I20240103004205 |
| Provider Name | Ava Barone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306125596 PECOS PAC ID: 9931550902 Enrollment ID: I20240104001214 |
| Provider Name | Ronen Cuperman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063832723 PECOS PAC ID: 1850742768 Enrollment ID: I20240104003114 |
| Provider Name | Corey Maloney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477037646 PECOS PAC ID: 8022469998 Enrollment ID: I20240105000315 |
| Provider Name | Melissa D'angelo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538755178 PECOS PAC ID: 8527410398 Enrollment ID: I20240117001692 |
| Provider Name | Katrina Piangerelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558944371 PECOS PAC ID: 9032561584 Enrollment ID: I20240119002339 |
| Provider Name | Shannon Kathleen Roy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043623382 PECOS PAC ID: 4284086687 Enrollment ID: I20240122003289 |
| Provider Name | Ellen Fonte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194111575 PECOS PAC ID: 6406208792 Enrollment ID: I20240123001773 |
| Provider Name | Derek Goncalves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245638675 PECOS PAC ID: 4486007614 Enrollment ID: I20240124001990 |
| Provider Name | Hope Koram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033768718 PECOS PAC ID: 1456704691 Enrollment ID: I20240124002500 |
| Provider Name | Jennifer Fotopoulos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588238067 PECOS PAC ID: 9830542000 Enrollment ID: I20240124003589 |
| Provider Name | Stephanie Gildea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083021810 PECOS PAC ID: 9436502564 Enrollment ID: I20240125000974 |
| Provider Name | Jonathan Robert Christiana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427281047 PECOS PAC ID: 8123471265 Enrollment ID: I20240125001134 |
| Provider Name | Christina Marie Bullard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831627801 PECOS PAC ID: 2860845914 Enrollment ID: I20240125001527 |
| Provider Name | Jessica Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821466384 PECOS PAC ID: 1254784234 Enrollment ID: I20240125002878 |
| Provider Name | Kelly Marie Mules |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265592752 PECOS PAC ID: 8820441819 Enrollment ID: I20240125003160 |
| Provider Name | John Quincy Marshall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881748366 PECOS PAC ID: 9830542869 Enrollment ID: I20240125004770 |
| Provider Name | Thomas S Wood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548520950 PECOS PAC ID: 9436502309 Enrollment ID: I20240126001537 |
| Provider Name | Charles James Vohs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497808919 PECOS PAC ID: 9335592088 Enrollment ID: I20240129003775 |
| Provider Name | Denise Brodock-nicotera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285005165 PECOS PAC ID: 5890148167 Enrollment ID: I20240202001492 |
| Provider Name | Nicole Dicecca |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528332293 PECOS PAC ID: 0446693733 Enrollment ID: I20240202002349 |
| Provider Name | Shayna Sembrano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336571215 PECOS PAC ID: 6002259181 Enrollment ID: I20240206000857 |
| Provider Name | Erin Flynn Simmons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689929200 PECOS PAC ID: 3870936974 Enrollment ID: I20240206001435 |
| Provider Name | Alan Punsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518247485 PECOS PAC ID: 7416390521 Enrollment ID: I20240206001788 |
| Provider Name | Derrick Lacasse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427608223 PECOS PAC ID: 1951744077 Enrollment ID: I20240206002212 |
| Provider Name | Sarah Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477816122 PECOS PAC ID: 6204279359 Enrollment ID: I20240206003163 |
| Provider Name | Abigael Eastman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700268752 PECOS PAC ID: 9032552195 Enrollment ID: I20240206003496 |
| Provider Name | Winnie Lin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982106746 PECOS PAC ID: 2668815622 Enrollment ID: I20240206003943 |
| Provider Name | Miesha Williams-jeanty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356846497 PECOS PAC ID: 5799128625 Enrollment ID: I20240208000259 |
| Provider Name | Lester Mcnab |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619429198 PECOS PAC ID: 1355784133 Enrollment ID: I20240208002237 |
| Provider Name | Rachel Lynn Schwartz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013560804 PECOS PAC ID: 0941643662 Enrollment ID: I20240209002422 |
| Provider Name | Kaitlyn Elizabeth Mccormack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780195776 PECOS PAC ID: 2567805047 Enrollment ID: I20240212003605 |
| Provider Name | Erica Scheel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871116251 PECOS PAC ID: 7810331980 Enrollment ID: I20240216000249 |
| Provider Name | Nina Lester |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629567847 PECOS PAC ID: 6305280421 Enrollment ID: I20240216002090 |
| Provider Name | Nicole Anne Lafrance |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548407067 PECOS PAC ID: 6901240894 Enrollment ID: I20240219003720 |
| Provider Name | Donna Marie Duggan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831615343 PECOS PAC ID: 3779927421 Enrollment ID: I20240221001417 |
| Provider Name | Kristin M Sunkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790013563 PECOS PAC ID: 5698119162 Enrollment ID: I20240223000622 |
| Provider Name | Marilyn Y Ramkissoon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427118249 PECOS PAC ID: 1658716071 Enrollment ID: I20240226001256 |
| Provider Name | Eileen Flaherty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376799866 PECOS PAC ID: 2466897889 Enrollment ID: I20240226001285 |
| Provider Name | Kelly Anne Dionne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396261376 PECOS PAC ID: 0941646541 Enrollment ID: I20240306000077 |
| Provider Name | Courtney Joyce Flagg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578991402 PECOS PAC ID: 0143667782 Enrollment ID: I20240319002255 |
| Provider Name | Tamise Francois |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821439589 PECOS PAC ID: 5991142838 Enrollment ID: I20240327001125 |
| Provider Name | Jane Audrie Ross-cotelle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528255486 PECOS PAC ID: 4486093879 Enrollment ID: I20240418000527 |
| Provider Name | Stephanie Frances Matthews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104055565 PECOS PAC ID: 8820438898 Enrollment ID: I20240425000197 |
| Provider Name | Ray Tea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558918060 PECOS PAC ID: 3971945940 Enrollment ID: I20240522000545 |
Arbour Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Shaw Rd, Brockton, MA 02301 Phone: 617-935-4872 | |
Aubrey Lieberman Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1342 Belmont St, Suite 105, Brockton, MA 02301 Phone: 508-580-3330 Fax: 508-580-8633 | |
South Bay Community Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 Phone: 508-521-2200 Fax: 508-584-2227 | |
Bmc Community Hospital Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-3000 | |
South Bay Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 West Chestnut Street Suite 202, Brockton, MA 02301 Phone: 508-521-2200 Fax: 508-584-2227 | |
Bmc Brockton Behavioral Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 34 N Pearl St, Brockton, MA 02301 Phone: 617-414-5393 | |
Brockton Multi Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Dmh, Brockton, MA 02302 Phone: 508-897-2000 Fax: 508-586-5117 |